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, 477 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 ORIGINAL (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits ..h.. aft Edwin .' ROJECT silr-77 11-••..YIkTION , a PROJECT ADDRESS:30 id Nc6.50 J BUILDING AREA(if residential,new construction,remodel,or addition) r/';'Oi i 6 1 SF BUILDING TYPE: KSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: matigip' -.r, r:.0":#0:404:PPLIC OO wls0RMA''TION>h ' r4,y .,.to r CONTRACT PRICE OF WORK:$ /0 NUMBER OF DEVICES (if low voltage)): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMI #(if applicable): DESCRIPTION OF WORK: chafe-kr AK /OM Grr l 0;00 " ��5$ iiiy*ro ri _ �,�iir ii aa� F.-" 'iHkRP w n �i l .._,a �,� li gna,�ii �» HH re� , ;HaH;7Ne >_,' T I' ibri�N a ,..�r ��,I Ii „r�j+ H 4 .I rg` ' - :fi tibq"Ji iHe -Witi ix��ti . 4 I,t�q°i..�, ° `.n +i -e=e � V171171JO HH, IA iil 7 - : +- ,0 1 1 i�d,t ,,' �If,��}41�) I ,c II��"--. � � � - 'u� I�In�bi �.� � � a um�i�h ,ase= i l` OWNER NAME:Day iCteth ei "y TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Ewe ' 14 I(J 3+' CITY Ewe STATE(L J ZIP Igi l OWNER PHONE:-- �/�� –O??a OWNER EMAIL: CONTRACTOR NAME: ✓I0 FOr -e: CONTRACTOR ADDRESS: STREET Ill 0 27,g c../r ,_?,,c) l CITY HLT STATE Wk ZIP qeD l CONTRACTOR PHONE: q '1 I'/,_1I(7C1 CONTRACTOR EMAIL: — /!!✓ CONTRACTOR LIC.#(REQUIRED):13L,UL-f RI"ft-51 Pt fru CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0I)Z7 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1,17q.---71 1.711 MinGth CONTACT EMAIL: 1 ,( AGREEMENT:T hereby certify that l have r a and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed w her spec d herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 415Tt - PERMIT# 1 I 10 E 1?)066-' 01 • -r/, �.• izeOgant ign. ( / Date (Revised 10/12/2015)